Full Length Review for USMLE Step 3
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74) A 75 year-old man with history of hypertension presents to the emergency room with complaints of shortness of breath and palpitations. His vital reveal a heart rate 142/min, blood pressure 130/86, temperature 98.6 and oxygen saturation of 89% on room air. On auscultation, there are no rhonchii or crepitations, the heart rate was irregular and rapid with out any murmurs. The patient is placed on oxygen by nasal cannula. An urgent EKG is obtained which reveals rapid atrial fibrillation with no evidence of significant ST-T changes. The patient is started on diltiazem. Chest x-ray is normal and a brain natriuretic peptide is 80ng/L. Electrolytes, TSH and complete blood count are with in normal limits. Cardiac enzymes are drawn. Arterial blood gases reveal a pH of 7.48, po2 of 58, pco2 of 20 on room air ( Fio2 of 21%). The next step in establishing the etiology of his atrial fibrillation :
A) Cardiac catheterization
B) Spiral CT scan of the chest
C) Venos doppler of lower extremities
D) 2D Echocardiogram
E) D-Dimer
75) What is the most likely etiology of atrial fibrillation in Case 1?
A) Acute ST elevation MI
B) Acute pulmonary embolism
C) Pneumothorax
D) COPD exacerbation
E) Congestive heart failure
Filed under: USMLE Test Prep | Tagged: ARCHER STEP3 LIVE REVIEWS, dr.red usmle, PREMIER REVIEW, premier review usmle step3, step 3 usmle, STEP3 USMLE, usmle step 3 courses, usmle step 3 review course, USMLE Step3, usmle step3 blog, USMLE STEP3 BOOKS, USMLE STEP3 PREPERATION, USMLE WORLD | 1 Comment »
Q71) A 65 y/o African American man is brought by his daughter to you and requests a PSA test because there is a hx of prostate ca in their family. You perform PSA and DRE. DRE does not reveal any palpable mass. The lab test reveal : PSA : 8ng/ml, Free PSA: 1.5ng/ml. You reveal the results to patient and his daughter. The daughter asks you if her father has a cancer. Your best response is :
A) The PSA level increases with age and your father’s PSA is in the age-appropriate range
B) PSA level is very nonspecific and your father does not have a cancer
C) The fact that the free PSA is only 1.5ng/ml as opposed to a bound of 6.5 indicates that your father most likely has a cancer etiology rather than benign cause
D) PSA will not help in diagnosing carcinoma prostate
E) I did this test only because you requested for it, I do not think this results mean anything.
Filed under: USMLE Test Prep | Tagged: ARCHER STEP 3, ARCHER UROLOGY, BOUND PSA, FREE PSA, PROSTATE CANCER, PSA LEVEL, PSA VELOCITY, STEP 3 ONCOLOGY, step 3 usmle, TOTAL PSA, UROLOGY FOR STEP 3, usmle step 3 | 4 Comments »
Archer Review releases Pay-Per-View option for those who missed out on their live reviews
Pay-Per-View enables you to watch the streaming video lectures for USMLE step 3 at your own convenience. These recordings are similar to the live webinar review in that you can see the powerpoint presentation running on your desktop screen while you also listen to the instructor’s audio.
Archer Review answers some of the frequently asked questions regarding Pay-Per-View
Please see below
What is Pay-Per-View?
Pay-Per-View system allows you to access the streaming video lectures online at your convenience and watch them at your home on your own desktop. You may purchase the full length course or topic-wise access.
Can I watch a Demo?
Yes! Contact us
What lectures for USMLE Step 3 do you currently offer via. Pay-Per-View?
The lectures that are currently available via. Pay-Per-View areA. Archer Full length ( 36 hours) USMLE Step 3 Review Course. B. Archer USMLE 3 Topic-Wise Lectures ( Hematology, Cardiology, Gastroenterology, Nephrology/Acid-base/Electrolytes, Pulmonology/Ventilators, Infectious diseases, Endocrinology, Neurology, Ethics, Rheumatology/ orthopedics/ sports medicine, Oncology, Preventive medicine, Psychiatry, Gynecology, Pediatrics and Dermatology )C. Lectures for USMLE Step2 CK will be available very soon.
What are these Video Lectures? Are they similar to your live reviews?
These streaming video lectures are the recordings of our live webinar sessions. These are exactly similar to our live review in that you can see both the powerpoint presentation ( a capture of the instructor’s desktop screen) as well as listen to the audio in conjunction with the powerpoint presentation. This eliminates the need for looking at a hand out or notes while listening to the lecture as you can directly see the powerpoint running on your screen.
Are we provided with any hand-outs or lecture notes?
Yes, you will be provided with relevant Archer USMLE Step 3 notes by e-mail once you purchase the streaming video for a particular topic or for the entire review.
Is Pay-Per-View more expensive than live review?
At this time, the cost of live review as well as Pay-Per-View is similar.What are the benefits of Pay-Per-View over the Live review?Live review needs to be attended at a designated time. Pay-per-view can be watched at your convenience. In Pay-Per-View, you can pause and listen to a particular portion again. You can also listen to the same lecture almost one and half times with the “watch time” that we currently provide.
What are the limitations of Pay-Per-View when compared to Live Review?
During the live review, you can directly ask questions and talk with the instructor. There is no such possibility via. Pay-Per-View. However, you may send us questions by e-mail and our instructor will try and answer them in about 3 days.
What is “Watch Time”?
Watch time is the amount time you are provided to watch the lecture. You are approximately provided with a watch time that is 50% greater than the length of the review. This allows to rewind and replay certain portions of the lecture if you wish. Watch time will not expire when you exit the lecture. Any unused watch time will be stored in your account and you can use it on an other day. When you resume the lecture, make sure to forward the player to the point where you left off. You can also replay the previous session as long as you have sufficient watch time in your accountFor each lecture, you will be provided with the duration of the lecture and the “Watch time” when you begin.
Do I need any special system requirements to play these?
These are WMV files and will play with any Windows Media Player.
How about the Internet connection requirements?Dial-Up connections are ok but broad band connection is preferred for uninterrupted access.
If interested, please visit Pay-Per-View to sign up!
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this is a 30 minute clip from recent Archer USMLE Step 3 Rapid review quickly summarizing electrolyte imbalance and acid-base
The above embedded video is not displaying the video. For access to full video+ audio, click here : Nephrology
Filed under: Uncategorized | Tagged: archer rapid review, ARCHER STEP3 RAPID REVIEW, archer usmle reviews, Dr.Red ccs. ccs workshop, dr.red ccsworkshop, dr.red nephrology lecture, dr.red rapid review, PREMIER REVIEW, step 3 usmle, STEP3 USMLE, usmle step 3, usmle step 3 books, usmle step 3 courses, usmle step 3 live review, USMLE Step3, usmle step3 blog | Leave a comment »